Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $3,460.00 / $6,915.00	Facility		$160.96	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $160.96 / $297.06	Professional		$104.65	$160.96	$297.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,729.39 / $3,784.98	Facility		$534.00	$1,729.39	$3,784.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $212.26 / $379.87	Professional		$126.52	$212.26	$379.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.43 / $223.43 / $223.43	Facility		$223.43	$223.43	$223.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $98.81 / $98.81	Professional		$98.81	$98.81	$98.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.49 / $453.00 / $731.00	Facility		$140.49	$453.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $196.42 / $355.51	Professional		$114.35	$196.42	$355.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $178.66 / $271.88	Professional		$124.15	$178.66	$271.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $395.50 / $452.00	Professional		$5.00	$395.50	$452.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $203.78 / $342.33	Professional		$147.57	$203.78	$342.33